Survey - 2021 TCS NYC Marathon Interest Survey - Parent Project Muscular Dystrophy

2021 TCS NYC Marathon Interest Survey

Thank you for your interest in joining the Race to end Duchenne team for the 2021 TCS New York City Marathon on Sunday, November 7, 2021. Due to the high fundraising commitment for this race, interested participants are asked to apply for an entry. Approvals will be communicated on a rolling basis beginning in early June until our entries have been filled. If you have any questions, please contact Nicole Herring at nicole@parentprojectmd.org. Thank you!

Contact Information


*	First Name: Required
	Middle Name:
*	Last Name: Required
*	Email: Required
*	Street 1: Required
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Country: Required
*	Phone Number: Required
	Employer:
*	Gender: Required
*	Date of Birth: Required	Date of Birth:
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*2.

Question - Required - What is your main motivation for joining the Race to End Duchenne team? I want to run the TCS New York City Marathon
I would like to support the fight to end Duchenne
I have run marathons before but never for a cause - now is the time!

*3.

Question - Required - Do you think you will be able to meet the required fundraising commitment of $3,000? Yes, Definitely!
No
Not sure, I have never done this before

*4.

Question - Required - If you do not reach your fundraising commitment of $3,000 by the deadline (October 23, 2020), are you willing to provide Parent Project Muscular Dystrophy with a credit card to pay the balance? Yes
No

*5.

How did you hear about our Team?

(Select one of the available choices or enter a different value.)
Question - Required -

Question - Not Required - If you answered family member or friend, who referred you?

Question - Not Required - Questions or Comments: